Gwynetta Maria Luckett MD

  • NPI 1053386185
According to our database, the NPI number for Gwynetta Maria Luckett MD is 1053386185 and activated since 18 years ago. Gwynetta Maria Luckett MD is an individual provider who specializes in Pediatrics, and the primary practice location is 650 Joel Dr, Fort Campbell, KY 42223. You can also contact Gwynetta Maria Luckett MD via telephone number is (270) 798-8388. Provider NPI information was last updated on 12/08/2014.

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Overview of Gwynetta Maria Luckett MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/22/2006
  • Last updated: 12/08/2014

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 35400
  • License State: TN

Provider Mailing Address

  • Address: 650 Joel Dr
    Fort Campbell, KY 42223
  • Phone: 270-798-8388
  • Fax:

Provider Practice Location

  • Address: 650 Joel Dr
    Fort Campbell, KY 42223
  • Phone: 270-798-8388
  • Fax:

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 35400
  • License State: TN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 5441880
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gwynetta Maria Luckett MD?
  • A: The npi number for Gwynetta Maria Luckett MD is 1053386185.
  • Q: What are Gwynetta Maria Luckett MD's specialties?
  • A: Gwynetta Maria Luckett MD's specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Gwynetta Maria Luckett MD?
  • A: The medical license number for Gwynetta Maria Luckett MD is 35400 and issued in TN in USA.
  • Q: Where is Gwynetta Maria Luckett MD practice location?
  • A: Gwynetta Maria Luckett MD is practicing at 650 Joel Dr, Fort Campbell, KY 42223.
  • Q: How to contact Gwynetta Maria Luckett MD?
  • A: You can contact Gwynetta Maria Luckett MD via 270-798-8388.